Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $5,495.41	Facility		$131.83	$251.19	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $812.83	Professional		$120.23	$208.93	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $831.76	Professional		$190.55	$346.74	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $1,023.29	Facility		$549.54	$630.96	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $741.31	Professional		$199.53	$389.05	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $338.84 / $3,715.35	Facility		$112.20	$338.84	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $602.56	Professional		$263.03	$363.08	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $398.11 / $5,623.41	Facility		$112.20	$398.11	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $3,548.13	Professional		$204.17	$389.05	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $676.08	Professional		$204.17	$363.08	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $3,981.07	Facility		$2,754.23	$3,981.07	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $446.68 / $3,548.13	Professional		$165.96	$446.68	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,000.00	Professional		$309.03	$602.56	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $724.44	Professional		$134.90	$275.42	$724.44